Internet interventions to support lifestyle modification for diabetes management: a systematic review of the evidence.

Internet interventions to support lifestyle modification for diabetes management: a systematic review of the evidence.
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DOI:
10.1016/j.jdiacomp.2013.07.003
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发表时间:
2014-03
影响因子:
3
通讯作者:
Cherrington AL
Cherrington AL
中科院分区:
医学3区
文献类型:
--
作者:
Cotter AP;Durant N;Agne AA;Cherrington AL

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互联网为促进慢性病管理提供了一个24小时、可广泛使用的手段。本综述的目的是识别使用基于互联网的干预措施促进2型糖尿病成人生活方式改变的研究。我们使用以下术语检索PubMed:[互联网、计算机、电话、智能手机、移动健康、移动的健康、基于网络的、远程健康、社交媒体、短信]结合[糖尿病管理和糖尿病控制],截至2013年1月。如果研究描述了互联网干预,针对2型糖尿病成年人,关注生活方式改变,并包括行为结果的评估成分,则纳入研究。在确定的2803篇论文中,9篇符合纳入标准。两项研究证明了饮食和/或体力活动的改善,两项研究证明了基于网络的干预与对照相比血糖控制的改善。成功的研究是以理论为基础的,包括跟踪和个性化反馈的互动组件,并提供了同行支持的机会。在所有的研究中,网站的使用率都随着时间的推移而下降,很少有研究关注高风险、服务不足的人群。基于网络的策略为促进糖尿病自我管理提供了一个可行的选择。需要进一步研究在服务不足的社区使用基于网络的干预措施,并研究长期以来网站的使用模式和参与情况。
The Internet presents a widely accessible, 24-hour means to promote chronic disease management. The objective of this review is to identify studies that used Internet based interventions to promote lifestyle modification among adults with type 2 diabetes. We searched PubMed using the terms: [internet, computer, phone, smartphone, mhealth, mobile health, web based, telehealth, social media, text messages] combined with [diabetes management and diabetes control] through January 2013. Studies were included if they described an Internet intervention, targeted adults with type 2 diabetes, focused on lifestyle modification, and included an evaluation component with behavioral outcomes. Of the 2803 papers identified, nine met inclusion criteria. Two studies demonstrated improvements in diet and/or physical activity and two studies demonstrated improvements in glycemic control comparing web-based intervention with control. Successful studies were theory-based, included interactive components with tracking and personalized feedback, and provided opportunities for peer support. Website utilization declined over time in all studies that reported on it. Few studies focused on high risk, underserved populations. Web-based strategies provide a viable option for facilitating diabetes self-management. Future research is needed on the use of web-based interventions in underserved communities and studies examining website utilization patterns and engagement over time.
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